cross clamp

cardiac surgery resident • lover of books, baking, Mozart, hearts and critical care • she/her 🫀🌈

[JACC Journals @JACCJournals]

Let's go! Cardiac damage (CD) staging is ready for widespread implementation & inclusion in Tx guidelines. CD stage ≥2 should be a criterion to consider earlier intervention in asymptomatic severe AS https://t.co/x1V70ajjKm

#JACCINT #vhdAS #TAVR @PPibarot

[Natasha @nat_echo]

Did you know:

The height of the colour box does not drop the frame rate, it’s the WIDTH that affects the frame rate.

I always teach people to lengthen colour box to look at the whole of the pulmonary artery not just the valve.

You never know when you may pick up a PDA!

[Rafael Thiesen Magliari @MagliariRafael]

The structural relationship surrounding the aortic root

[Ross Prager @ross_prager]

(1/10) Pericardial tamponade is a clinical diagnosis supported by #echo (2D + quantitative). A 🧵of 10 confirmed tamponade cases (by drainage!) starting with obvious and ending with subtle ones that you could easily miss.. some PEARLS along the way 👇#medtwitter #foamed

[EHRAPresident @EHRAPresident]

#EHRAtopicweek "My favorite studies 2023"

🎯 CASTLE HTX is the 1st study selected by @jongichun

Catheter ablation vs. med. Tx in patients with sympt AFib and end-stage HF
1° outcome of death, assistance device, of transplant (8% vs. 30%, HR 0.24).
https://t.co/DlEnlMtfnj

[Prof. Feynman @ProfFeynman]

Don't just teach your children how to be successful, teach them how to respond when they are not successful, teach them how to handle failures and learn from their mistakes.

[Carlos El-Tallawi, MD, FACC, FASE @HeartToProve]

The many precursors of mitral valve SAM

[John J. Kelly, MD @John_J_Kelly_MD]

Introducing our resident-designed, do-it-yourself cardiac surgery simulator for practicing surgical skills at home. Part 1 of our series now published in MMCTS: https://t.co/9lE0YyeE3D #HeartBox @AspiringCTS @JasonHanMD @MarkHelmersMD @williamlpatrick @MMCTS_Manual @pennsurgery

[Steven Hsu @stevenhsu_md]

We are excited to share our work on #RV function in #LVAD patients. Using RV P-V loops, we find occult RV contractile dysfunction in LVAD patients (vs controls), which correlates to the loss of septal contractility from LV unloading.

https://t.co/4mOQxfxp5p

[IMCrit @IM_Crit_]

ICU snapshots:

70 yo pt s/p total knee replacement 10 days ago was admitted with massive PE. Intubated in peri-arrest condition (POCUS: big failing RV) & transferred to the ICU

[Jo Chikwe @JoChikweMD]

All 4 of our PGY 3’s have done complete Bentalls - including the newest ones, with 4 different surgeons. And Type-A’s, ascendings + AVRs, with good patient outcomes.

My best case in cardiac as a PGY3 (the highlight of my year) was getting to do one proximal.
🤣

Video adapted from Cardioroot: https://t.co/huNWcQVRAO

[JACC Journals @JACCJournals]

In this #JACCHF study, women were less likely to have Dx testing or receive guideline-directed care than men. A survival advantage for women was observed only in countries w/ low-income disparity, suggesting equity of HF care between sexes remains an unmet goal 🌍. https://t.co/iogVRHRmTY #HealthEquity

[Academic Chatter™ @AcademicChatter]

Academia: "practice self-care"
Me: "rests"
Academia: "no, not like that"

[European Society of Cardiology Journals @ESC_Journals]

Triptan-induced takotsubo syndrome https://t.co/1Gfc1luSAE

#EHJCaseReports @KardiologieHH @aayshacader @ANazmiCalik @TJ_Yeo @FarhanaAra @Phiso_de @EHJCREiC #CardioX

[IMCrit @IM_Crit_]

ICU/ED case: Middle age patient with DM2/HTN/anxiety-depression presented to the ED due to "high glucose readings". Had an almost "pan-positive review of systems". For those not familiar w the term, it means that there are concerns/symptoms from almost every organ system. Due to

[IMCrit @IM_Crit_]

A 50 yo patient presented to the ED with chest pain and this ECG:

[Kristen Panthagani, MD, PhD @kmpanthagani]

It’s slow right now in the ICU, so here it is… the thread you’ve never seen before….

Tips for new interns.

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

Really nice phrase from @UkMiguel

ECPR is a sequence of 15 minutes

15 minutes for decision
15 minutes to cannulate
15 minutes to stabilise.

#ukecpr23

[NEJM @NEJM]

#CCR23: In the DEVICE trial, the use of video laryngoscopy in critically ill patients undergoing intubation in the ED or ICU resulted in a higher incidence of successful intubation on the first attempt than direct laryngoscopy. https://t.co/hi5TdfUxme

[Jo Chikwe @JoChikweMD]

🧵1/ With patient permission. This is one of our I6 PGY2s (right) doing a mitral repair, a superb PA (left) is assist and an attending is 2nd assist. A resident anesthesiologist is at bedside.

Many patients wonder how residents participate in their care.
One asked this week: